HAVEN HEALTH CENTER OF CROMWELL (NPI# 1619013208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619013208 |
| Entity Type | Organization |
| Organization Name | HAVEN HEALTH CENTER OF CROMWELL |
| Practice Address |
385 Main St Cromwell CT 06416-2308 |
| Practice Telephone | 8606355613 |
| Practice Fax Number | 8606356330 |
| Mailing Telephone | 8606355613 |
| Mailing Fax Number | 8606356330 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TONY SCIERKA (PRESIDENT) |
| Authorized Official Telephone | 8607048400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 1025C | CT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 0091751 | 05 |
| Street Address |
385 MAIN ST |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145611 | Venus Catipay | Physical Therapist | 385 Main St, Cromwell, CT 06416-2308 | 2020-02-11 |
| 1912301995 | Cromwell Operations LLC | Skilled Nursing Facility | 385 Main St, Cromwell, CT 06416-2308 | 2014-10-20 |
| 1720342579 | Michael Anthony Uzar | Physical Therapist | 385 Main St, Cromwell, CT 06416-2308 | 2012-06-26 |
| 1437462967 | Aurora Senior Living of Cromwell, LLC | Skilled Nursing Facility | 385 Main St, Cromwell, CT 06416-2308 | 2010-07-26 |
| 1083601058 | Ti - Cromwell LLC | Skilled Nursing Facility | 385 Main St, Cromwell, CT 06416-2308 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469626 | Anjali Rowe | Developmental Therapist | 162 West Street., Building 2 Suite F, Building 2 Suite F, Cromwell, CT 06416 | 2019-10-28 |
| 1366938110 | Katherine Sluti | Developmental Therapist | 162 West St., Building 2 Suite F, Cromwell, CT 06416 | 2018-07-05 |
| 1821597477 | Sherry Wong | Behavioral Analyst | 162 West St, Bldg 2, Suite F, Cromwell, CT 06416 | 2018-02-09 |
| 1952826828 | Marlene Dejesus | Developmental Therapist | 162 West St, Bldg 2 Suite F, Cromwell, CT 06416 | 2017-08-11 |
| 1689199895 | Amanda Marie Mimande | Developmental Therapist | 162 West Street, Building 2, Suite F, Cromwell, CT 06416 | 2017-08-08 |
| 1912260357 | Ulrich Klaus Rathey | Internal Medicine | 2316 Cromwell Hills Drive, Cromwell, CT 06416 | 2012-06-20 |
| 1801171616 | Leonard J Zgorski | Pharmacist | 4 Hammerhead Place, Cromwell, CT 06416 | 2011-10-13 |
| 1396024725 | Michelle Nwigwe | Nurse Practitioner | 80 Shunpike Rd Ste 101-b2, Cromwell, CT 06416 | 2011-08-16 |
| 1508090028 | Giovanna Maria Cammuso | Social Worker | 22 Tuttle Road, Cromwell, CT 06416 | 2009-05-12 |
| 1992954994 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 72 Berlin Rd., Cromwell, CT 06416 | 2008-09-15 |
| Find all providers in zip 06416 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760469878 | Villa Vista, Inc. | Nursing Facility/Intermediate Care Facility | 1197 Villa Vista Circle, Cromwell, MN 55726-0098 | 2005-12-29 |
| 1982889127 | Villa Court LLC | Nursing Facility/Intermediate Care Facility | 1197 Villa Vista Circle, Cromwell, MN 55726-0098 | 2008-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265826796 | Johnson Memorial Hospital, Inc. | Nursing Facility/Intermediate Care Facility | 88 Hillyndale Rd, Storrs, CT 06268-1802 | 2015-03-23 |
| 1184838039 | Connecticut Baptist Homes, Inc. | Nursing Facility/Intermediate Care Facility | 292 Thorpe Avenue, Meriden, CT 06450 | 2007-05-10 |
| 1578784658 | Simonetti Realty Inc | Nursing Facility/Intermediate Care Facility | 101 Marshall Ln, Derby, CT 06418-2347 | 2007-05-02 |
| 1649395781 | Yale New Haven Ambulatory Services Corp | Nursing Facility/Intermediate Care Facility | 229 George Street, Floor 3, New Haven, CT 06510 | 2007-03-20 |
| 1942324389 | New Haven Health Care | Nursing Facility/Intermediate Care Facility | 34 Level St, New Haven, CT 06515-1017 | 2007-03-19 |
| 1194857581 | Filosa Care Center, Inc. | Nursing Facility/Intermediate Care Facility | 31 Staple St, Danbury, CT 06810-5323 | 2007-03-12 |
| 1598833725 | Orchard Grove Specialty Care Center | Nursing Facility/Intermediate Care Facility | 5 Richard Brown Drive, Uncasville, CT 06382 | 2006-12-04 |
| 1275609398 | Clintonville Manor | Nursing Facility/Intermediate Care Facility | 201 Clintonville Rd, North Haven, CT 06473-2409 | 2006-11-28 |
| 1487724175 | Hewitt Health and Rehab Center | Nursing Facility/Intermediate Care Facility | 45 Maltby St, Shelton, CT 06484-3328 | 2006-11-09 |
| 1851402382 | St Mary Home, Incorporated | Nursing Facility/Intermediate Care Facility | 2021 Albany Ave, West Hartford, CT 06117-2755 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HAVEN HEALTH CENTER OF CROMWELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.